1. Treatment of Hypertension: Evaluation and Management of Resistant Hypertension.

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Evaluation and treatment of resistant hypertension.

Hypertension is a major cause and contributor to stroke, heart and kidney disease. Despite the development of an arsenal of medication to treat hypertension over the past half-century, adequate treatment continues to be a major problem in the United States. The Third National Health and Nutrition Examination Survey (NHANES-III) shows that only 29% of hypertensive patients reach a blood pressure...

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Evaluation and treatment of resistant hypertension

1 Department of Hypertension and Nephrology, Instituto Dante Pazzanese de Cardiologia, Sao Paulo, SP, Brazil. 2 Vascular Biology and Hypertension Program, University of Alabama at Birmingham, Birmingham, AL, USA. Correspondência para: Eduardo Pimenta, MD. 933 19th Street South, Room 115. Birmingham, AL 35294. Fone: (205) 934-9281; Fax: (205) 934-1302. E-mail: [email protected] Recebid...

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Diuretic treatment of resistant hypertension.

In patients with hypertension resistant to three or four drugs including a thiazide diuretic substitution of frusemide for the thiazide, or the addition of spironolactone, produced significant reductions in blood pressure and body weight. The response did not depend on the presence of overt fluid retention, renal impairment, or the use of antihypertensive drugs of high potency. Women had larger...

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Resistant hypertension, case based approach to diagnosis and management: case report

Background: Resistant hypertension is defined when the blood pressure remains elevated above the therapeutic target levels despite the use of three antihypertensive agents including calcium channel blocker (CCB), renin-angiotensin system (RAS) blocker and a diuretic. These drugs should be used at maximally tolerated doses and white coat effect and non-adherence should also be excluded. In this ...

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ژورنال

عنوان ژورنال: Nihon Naika Gakkai Zasshi

سال: 2012

ISSN: 0021-5384,1883-2083

DOI: 10.2169/naika.101.707